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News > Obama proposes TRICARE changes
Obama proposes TRICARE changes

Posted 9/20/2011 Email story   Print story

    


by Lisa Daniel
American Forces Press Service


9/20/2011 - WASHINGTON (AFNS) -- Military retirees would pay an annual fee for TRICARE-for-Life health insurance and TRICARE pharmacy co-payments would be restructured under the deficit reduction plan President Barack Obama released Sept. 19.

"If we're going to meet our responsibilities, we have to do it together," Obama said during a Rose Garden speech to announce the President's Plan for Economic Growth and Deficit Reduction. The plan reduces $4.4 trillion from the $14.7 trillion federal deficit over 10 years through a combination of spending cuts and increased tax revenue.

For the military portion, Obama said the government will save $1.1 trillion from the drawdown of forces in Iraq and Afghanistan, which are to be complete at the end of this year and in 2014, respectively.

The plan includes savings of $6.7 billion over 10 years by establishing "modest annual fees" for members of TRICARE-for-Life, which becomes a second-payer insurance to military retirees who transition to the federal Medicare program upon turning age 65. The change would begin with a $200 annual fee in fiscal 2013.

The plan also includes savings of $15.1 billion in mandatory funds and $5.5 billion in discretionary funds over 10 years by restructuring co-payments for TRICARE pharmacy benefits.

To bring the TRICARE plan more in line with private and other federal plans, the president's proposed plan would eliminate co-pays for generic mail-order drugs, while shifting retail co-pays from a dollar amount to a percentage co-pay. The change would apply to military families and retirees, but not active-duty service members.

These changes will ensure fiscal responsibility without compromising quality care for service members and their families, Pentagon Press Secretary George Little said in a statement released Sept. 19.

Defense Secretary Leon E. Panetta "has consistently emphasized the need to keep faith with our troops and their families," Little said.

"That includes maintaining the highest quality health care for them," he continued. "We will continue to maintain the highest possible health care, but during this period of fiscal belt tightening, we may see modest cost increases in TRICARE enrollment fees and co-pays to sustain the health system."

The changes are necessary to help reduce the deficit and ensure the long-term strengths of the programs, a White House news release issued after Obama's speech said. The changes also would help to level "a measurable disparity" between military retirees and private sector workers, it says.

The statement notes that the administration has expanded GI Bill benefits, job training and veterans' homeless prevention programs, and proposed tax credits for employers to hire veterans.

"Still, as the cost of health care rises and benefit programs across the public and private sectors are being restructured to remain solvent," the release says, "it's important that programs that serve military retirees and veterans are modernized to be able to meet the needs of the future."

The plan also would create a commission to "modernize" military benefits through a process based on that of the 2005 Base Realignment and Closure Commission, the White House release said. Under the proposal, the Defense Department would make a proposal to the commission, which can alter the proposal before sending it to the president. The president may not alter the proposals, but would decide whether or not to send it to Congress. The Congress would have to approve or disapprove without modifications.

"The administration believes that any major military retirement reforms should include grandfathering provisions that ensure that the country does not break faith with military personnel now serving," the statement said.

Obama said the proposal to save $4 trillion "finishes what we started last summer" when he and the Congress agreed to $1 trillion in cost savings. Under the plan, the deficit -- the difference between revenue and spending -- would level out in 2017 where spending is no longer adding to the nation's debt.

While "we are scouring budget for every dime of waste and inefficiency," Obama said, the proposed plan also closes corporate tax loopholes, raises taxes on millionaires and makes changes to Medicaid and Medicare in an effort to help small businesses and middle class Americans, and protects spending on education, science and infrastructure such as roads and bridges.

"We're asking everybody to do their part so no one has to shoulder too much burden," Obama said.



tabComments
3/1/2012 3:01:33 PM ET
My husband is a 30 year veteran of the Air Force. When he enlisted 41 years ago we were promised free medical care as a benefit after retirement. We moved almost every 2 years for 30 years. He was a devoted and proud military member--eager to serve his country. I think it is a shame for Mr. Obama to be so thoughtless and greedy as to take away benefits from Veterans and their families. He gives businesses a break and comprises the quality of life for retired military members and their families. He needs to honor these folks that served the country and were promised health care. He needs to granfather what was promised and quit being thoughtless and greedy to those who have served. God Bless America.
Barbara, Layton Ut
 
2/28/2012 10:43:51 PM ET
Obama's wasteful spending: Obama can spend 744,000 to build a soccer field for the prisoners at Guantnamo.I thought his campaign promise was to close down the prison- guess he didn't really understand what he would do with the prisoners.Google Guantnamo captives a new soccer field
Ken , Oregon Central Coast
 
11/2/2011 4:56:43 PM ET
My husbanda retired 1SG served 24 years in the Infantry and is a Vietnam War Veteran. How could you ever compare his service with the job of a civilian? On a regular basis my husband worked 15 and more hours a day often seven days a week and had countless deployments. Now as we are getting old and might need more medical care the promises once made will now be broken. And I am afraid it will only be the beginning. So I guess it would be best to die before hitting the big 65
Monika Fox, Glen Carbon IL
 
9/29/2011 8:49:28 AM ET
I demand you cut the budget ... except for any part related to me ...
Analyst, Barksdale
 
9/21/2011 7:27:55 PM ET
In a word NO. LEAVE OUR TRICARE BENEFITS ALONE. Want to save money? Cut unneeded weapon systems like the F-35. Cut foreign aid across the board by a percentage. WHAT disparity between military retirees and private sector workers? Let THEM go into harm's way multiple times. Contact your Congressperson about this. I already have.
Otis R. Needleman, USA
 
9/21/2011 6:22:24 PM ET
A measurable disparity between retirees and private sector workers -- I've got a measurable disparity for you. How about the military personnel who are sworn to defend even if that requires the ultimate sacrifice while your private sector worker can just leave a job when they don't like it or don't feel safe? You can't keep faith with the retirees if you keep making changes. For that matter the active force will see what's going on and may be dissuaded to remain in service to retirement.
Load, Vegas
 
9/21/2011 4:12:55 PM ET
Stand by for the mass exodus -- between this and the retirement changes why will anyone stay? All of us shoud be afraid, be very afraid.
Retired Sarge, retired land
 
9/21/2011 3:46:33 PM ET
To our retired service members aged 65 years or older...we PROMISED you FREE health care for LIFE when you joined the service. Upon your retirement we kept our promise and we thank you for your service Well we have now changed our minds and next year we will implement a 200 annual fee. We promise to keep raising this fee as fiscal demands dictate. Just a reminder for all you who sacrificed so much for our country we didn't go back on our word...at least in our minds. Sincerely YOUR Administration You're Welcome
D. Heffernan, Queens NY
 
9/21/2011 9:35:39 AM ET
Part of the issue is that while many I speak with are really in disagreement with raising the TRICARE fee, they have a major problem with touching retirement benefits for those who are currently serving. Many in the Pentagon, in my view, are short-sighted about proposing anything because it doesn't affect them yet. Many are politicians in a uniform seeking favor. This will be a retention issue. If there is no real advantage to staying a full 20 years, no one will. This potential short-term gain may have disasterous long-term trouble when the leaders we need to be there aren't there for the next war.
Tommy Bowles III MSgt Ret, Bristow VA
 
9/20/2011 11:30:32 PM ET
The changes would help to level a measurable disparity between military and private sector workers. So what is the plan to level the measurable disparity of deployments and separations of families between military and private sector? After all, the article says that we're asking everybody to do their part so no one has to shoulder too much burden, right? So when are all the private sector workers going to put their lives on hold for up to a year at a time and go to combat in defense of this country? Apparently we are willing to let others shoulder the burden on that, but then we let envy take over when looking at the benefits one earns and claim it to be unfair.
FD, Hurlburt
 
9/20/2011 8:09:45 PM ET
TriCare for life was the end result of the broken promise of free medical care for life for you and your wife if you stayed in for 20 years. It was part of re-enlistment briefings and re-up posters until 1990. Congress never gave DOD the authority to make and pay for this promise. It was one of the biggest frauds our government participated in. So, now they want to take away the no fee TriCare for life. More broken promises. When does it end?
Dave , Eugene OR
 
9/20/2011 3:19:08 PM ET
Yet again this president proposes to get out of the fiscal hole into which he has driven this country on the backs of the middle class and retirees. Yes this proposal to change TRICARE for Life seems modest compared to people who have no jobs and who have no health insurance, but if he gets this without resistance he will come back to the military members for more. I served in two wars and numerous remote tours with the knowledge and understanding that certain promises were made to me and my brothers and sisters in arms by our country for that service. When the president and congress have truly scoured the budget for waste and eliminated the corporate loopholes etc., etc., which we have all heard before, then I will accept discussion of changes to the promises made to us. I have yet to see the promises of change we can believe in that he has made to the people of this country. This country does have serious problems. but they will not be solved by forcing sacrifices on those who ser
George Clemons, Concord NC
 
9/20/2011 3:10:28 PM ET
The administration continually fails to acknowledge the difference with military members enduring a career of hardships to earn their benefits as it continues to compare them to the private sector. The proposal also takes aim at the profit margins for healthcare providers, drug makers and insurance companies participating in Medicare. Where do you think those profits will be recouped? That's right, the consumer who is already paying more taxes as their fair share so that others can come to this country and receive free medical care and lower the standard of education.
D. Patrick, San Antonio
 
9/20/2011 2:57:03 PM ET
Everyone has to do their part. Please. I didnt get us into this mess. And I'd like to think the Armed Services of the United States DEFINITELY do their part.
Lt Col, in the area
 
9/20/2011 2:56:43 PM ET
So concerning an annual charge for TRICARE-for-Life --- the changes also would help to level a measurable disparity between military retirees and private sector workers it says. Perhaps there is also a measurable disparity between laying your life on the line as a military retiree versus the sacrifices made by the majority of people in the U.S.including politicians and illegal immigrants, both of which receive charity care from hospitals. Is there also a proposed remedy to level that disparity?
Dave, PA
 
9/20/2011 2:31:45 PM ET
Does the proposed annual fee apply to current tricare for life retirees or will they be grandfathered
Bob Riddle, Weatherford TX
 
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